NPI | 1487113734 |
---|---|
Former Name | KATHRYN MARIA SUNDHEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 291450) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 291450) |
Enumeration Date | 2019-03-17 |
Last Update Date | 2025-07-08 |